Active NPI
William Matthew Greenberg, PHARM.D.
- Pharmacotherapy Pharmacist
- San Diego, CA
National Provider Identifier
1518991389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 31113
- Practice address
- 200 W Arbor Dr
Ucsd Acc Pharmacy - Mail Code 8729
San Diego, CA 92103-9001 - Phone
- (619) 543-5943
- Fax
- (619) 543-6784
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 31113 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
Ucsd Acc Pharmacy - Mail Code 8729
San Diego, CA 92103-9001
Mailing address
13151 Ridgedale Dr
Poway, CA 92064-4311
Phone (858) 679-7895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 31113 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31113 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518991389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13151 RIDGEDALE DR",
"city": "POWAY",
"state": "CA",
"postal_code": "920644311",
"telephone_number": "858-679-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "UCSD ACC PHARMACY - MAIL CODE 8729",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-5943",
"fax_number": "619-543-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "WILLIAM",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "31113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RPH 31113",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.